The Association of Low and High Laser Treatments on Self-Inflicted Lip Injury: A Case Report

Objective: Report a clinical case of surgical lip lesion removal owing to self-injury in a 9-year-old male quadriplegic, spastic cerebral palsy (CP) patient using low and high lasers in association. Background: Various management methods for oral trauma have been suggested, depending on the severity, frequency, and cause of injury, including medication, behavioral techniques, and oral appliances or dental extractions. Methods: Initially, low-level laser therapy (LLLT) was used on the injured labial tissue measuring 2.2 cm externally and 3.4 cm in the internal mucosal, followed by surgical removal using a CO 2 laser. After 30 days, a significant reduction in injury to the oral tissues was observed, and the region presented normal color and good healing conditions. Conclusion: The association of different laser therapies to remove and heal a lip lesion owing to self-injurious behavior was effective and promoted improvement in the patient's quality of life by establishing painless mastication.